3FR-22883-55310

3 vaccinations 10 coded responses 23 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 752 / TX
Registered: 2021-01-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Moderate Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 21, dose 2
MedDRA: Asthenia, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel weak tired and sometimes breath shortness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and short of breath ness sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 35, dose 2
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough cold and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Asthma, Chest pain, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain and exhausted My asthma is worse than beforeNot going at hospital because dont have insurance and waiting for appointmentThey give me a bill for covid vaccine Im afraid to pay too much for consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Chest pain, Fatigue, Menstrual disorder, Myalgia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Had an implant and no bleeding since 2nd dose I bleed every month and now I bleed everyday or Avery 3 days and have lower belly painI have chest pain at the left side of my chest and neck and muscles pains and feel more tired every day

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-19
Dose 3 — Pfizer-BioNTech
2022-02-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Blood cholesterol increased, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscles and joints pain Higher cholesterol

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Moderate Chest pain

2021-02-07

Systemic reaction (other): Mild chest pain

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Dizziness and fatigue

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Feel weak tired and sometimes breath shortness

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Fatigue and short of breath ness sometimes

Release 5 — day 35, dose 2

2021-03-14

Symptoms: Cough cold and sore throat

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Runny nose and sore throat

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Chest pain and exhausted My asthma is worse than beforeNot going at hospital because dont have insurance and waiting for appointmentThey give me a bill for covid vaccine Im afraid to pay too much for consultation

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Had an implant and no bleeding since 2nd dose I bleed every month and now I bleed everyday or Avery 3 days and have lower belly painI have chest pain at the left side of my chest and neck and muscles pains and feel more tired every day

Release 11 — 6 months, dose 3

2022-04-19

Symptoms: Muscles and joints pain Higher cholesterol

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Abdominal pain	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Blood cholesterol increased	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Menstrual disorder	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Chest pain	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release